When Braces Aren't Enough: How Orthognathic Surgery Corrects Jaw Bone Problems
Orthodontics

When Braces Aren't Enough: How Orthognathic Surgery Corrects Jaw Bone Problems

When braces alone can't correct a severe jaw discrepancy, orthognathic surgery realigns the upper and lower jaws to restore bite function and facial balance.

Imbalanced face shape, protruding upper or lower jaws, skewed jaws, retracted lower jaws, malocclusion, etc. These problems caused by abnormal jaw bone development may disturb people for life. In order to reconstruct a good bite relationship, upper and lower jaw bone relationship and tooth angle, there is a surgery that can bring changes to the patient. This is orthognathic surgery.

Orthognathic Surgery

When the difference between the abnormal position of the bones is too large that only by receiving orthodontic treatment cannot improve the problem, the orthodontist may suggest the patient to undergo orthognathic surgery. This surgery is recommended to perform after the jaw has been fully developed. Usually it is about 16 years old for women and 18 years old for men. This is to ensure that the bone would not change position due to continued development. Jaw bone volume matters for implants too, where grafting to rebuild the implant site is sometimes required.

The orthognathic surgery will be carried out by a specialist in oral and maxillofacial surgery, aims to correct the abnormality of the upper and lower jaw bones. In addition, most of the orthognathic surgery needs to cooperate with orthodontics, the two doctors will discuss and formulate a plan according to the patient's situation. They will establish a 3D model, and predict the future oral condition and face shape changes. This operation needs to be performed under general anesthesia, and because of the recovery period after general anesthesia, hospitalization is required.

When Braces Aren't Enough: How Orthognathic Surgery Corrects Jaw Bone Problems

Orthognathic surgery is performed inside the mouth, all wounds will be hidden, so there will be no scars on the face. The sequelae of surgery include numbness of lips and chin after surgery, and some people may even lose consciousness. But the chance of these problems occurring is very low, usually will be recovering over time.

When Braces Aren't Enough: How Orthognathic Surgery Corrects Jaw Bone Problems

This operation can help people who are deeply troubled by abnormal jawbone development and imbalanced face to regain their confidence, change their appearance, and return to normal teeth chewing function. However, the cost of orthognathic surgery is not cheap, and it must also be matched with orthodontics. The cost of treatment is believed to be one of the major considerations for patients.

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Whether orthognathic surgery is needed alongside braces is assessed jointly by orthodontics and oral and maxillofacial surgery. If you suspect your problem comes from the jaw bone, see our orthognathic surgery assessment service first.

Article Info

First published: 2 May 2020

Last reviewed: September 2026

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Reminder: You have the right to choose a Hong Kong dentist based on your individual needs. We recommend referring to the list of registered dentists published on the official website of the Dental Council of Hong Kong to make a choice best suited to your personal needs. The above content is intended to give you a brief introduction to the nature and effects of the relevant dental procedures, so that you can make informed decisions when choosing a dentist and related treatment options. All treatments have advantages and disadvantages — the key is that you must have a basic understanding of different treatments and procedures and be aware of the associated risks. The above content does not represent the professional opinion or views of any dentist or dental institution. For the sake of your health, please consult your family dentist for formal medical advice.

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Last updated: Sept 2026

Orthognathic Surgery: Assessment and Treatment of Jaw and Bite Problems

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